Provider Demographics
NPI:1093737181
Name:METROPOLITAN EAR, NOSE & THROAT ASSOICATES, INC
Entity Type:Organization
Organization Name:METROPOLITAN EAR, NOSE & THROAT ASSOICATES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:E
Authorized Official - Last Name:SIKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:724-772-2711
Mailing Address - Street 1:6001 STONEWOOD DRIVE
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090
Mailing Address - Country:US
Mailing Address - Phone:724-940-5755
Mailing Address - Fax:724-934-2850
Practice Address - Street 1:6001 STONEWOOD DRIVE
Practice Address - Street 2:3RD FLOOR
Practice Address - City:WEXFORD
Practice Address - State:PA
Practice Address - Zip Code:15090
Practice Address - Country:US
Practice Address - Phone:724-940-5755
Practice Address - Fax:724-934-2850
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-24
Last Update Date:2012-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologistGroup - Single Specialty